As of the July, 2022, release via CMS

KISHWAUKEE COMMUNITY HOSPITAL

CMS id: 140286
ONE KISH HOSPITAL DRIVE, DEKALB IL 60115. County: DEKALB
System: NORTHWESTERN MEMORIAL HEALTHCARE
CBSA: Chicago-Naperville-Elgin, IL-IN-WI

The 98-bed, acute-care hospital had $64,932,680 in net service to patients*, with a total profit margin of 23.83182% in fiscal year 2021, the latest year available.
It spent 2.62% of its operating expenses on uncompensated care and reported $2,202,482 in Medicaid shortfall.

* For more about Net Service to Patients and operating revenue, please the finance section below.

Note: Medians are from acute-care hospitals with "complete" fiscal years. For more about how we calculated medians and cost reports in general, please click here.

Details

	2017	2018	2019	2020	2021
# of days in fyear	365	365	365	366	365
Ownership	nfp	nfp	nfp	nfp	nfp
Acute beds Median	86 118	86 118	86 119.5	86 118	86 119
Total beds Median	98 162	98 162	98 162	98 162	98 163.5
FTEs Median	845.00 788.06	843.90 793.42	775.50 806.03	781.73 787.61	804.69 804.34

Finances As they appear in worksheet G3 of the cost reports.

Note: Net Patient Revenue is considered operating revenue, which means Net Service to Patients is considered operating profit. Click here for more about cost report financials

Hospital cost reports are an enormously complicated dataset. There are whole organizations and an offical CMS vendor dedicated to helping researchers work with the data.
It's important to understand that hospital financials in cost reports are not organized in the same as other sources such as annual financial reports to bond holders.

The biggest difference is the concept of operating revenue and profit. Net Service to patients (NS2P), which is the sum of net patient revenue minus operating expenses, is considered the equivalent of operating profit according to the Medicaid and CHIP Payment and Access Commission (MACPAC). See the last paragraph of "Primary Data Sources" on page 55 of Annual Analysis of Disproportionate Share Hospital Allotments to States (PDF).

That would make Net Patient Revenue = operating revenue.

All this makes things challenging when comparing what's reported in cost reports to other sources. It becomes clearer when you consider that, beyond the purpose of reimbursement, cost reports are a tool for policymakers trying to understand the financial situation of a hospital doing the tasks specific to hospitals.

In other words, while a facility with a division that formulates drugs might include earnings from that as operating revenue in their corporate annual result, this is not central to the operations of a hospital caring for patients and so it is counted as "other income." (See below the financials section for more on "other income")

The healthcare consulting firm HMP, in a former partnership with Modern Healthcare, did develop a formula for estimating operating revenue closer to what one might find in other sources. We no longer use this for the following reasons:

The measure was not widely used beyond HMP and Modern Healthcare. Many hospitals had their own internal estimates of operating revenue and profit.
Because of this, there was confusion when reporting operating results for individual hospitals. There was often pushback when a facility's internal numbers did not match what Modern Healthcare was reporting.
The formula includes revenue from portions of the "other income" section, which may also include non-operating revenue. HMP themselves point out in a caveat on their site that they cannot exclude all non-operating revenue from their measure.

HMP's operating measure has proven problematic in the past for our reporting and the partnership with them ended years ago. It's best to not use a measure that we alone cannot defend.

	2017	2018	2019	2020	2021
Net patient revenue ? Median	198,638,637 150,932,746	215,066,990 158,950,878	235,224,268 168,696,998	245,599,417 163,454,693	292,521,659 186,589,412
Operating expenses Median	159,559,472 149,311,209	188,723,883 156,110,414	208,820,011 164,890,568	221,826,200 166,516,854	227,588,979 180,120,888
Net income from service 2 patients (NS2P) ? Median	39,079,165 -964,173	26,343,107 -643,601.5	26,404,257 -116,254	23,773,217 -5,025,862	64,932,680 -1,284,564
NS2P margin ? Median	19.67% -0.62	12.25% -0.29	11.23% 0.18	9.68% -5.07	22.20% -0.88

Range* of Net Service to Patient (NS2P) margins

= NS2P margin for KISHWAUKEE COMMUNITY HOSPITAL compared to all** acute-care hospitals, from CMS cost reports.
Note: NS2P is considered operating margin by MACPAC. The chart below is interactive: click or touch to see more.

* Data range does not show outliers, which fall beyond the minimum and maximum of the range.
** From cost reports with complete fiscal years. Number of acute-care hospitals available to calculate medians:

2017	2018	2019	2020	2021
3,157	3,092	3,050	3,052	2,566

	2017	2018	2019	2020	2021
Other income* Median Click here to show/hide details	3,743,921 5,089,215	3,957,942 4,572,541	6,189,309 5,268,134	15,251,338 13,092,619	11,453,426 12,369,236
⊳ Line 6: Contributions ? ⊳ Median	0 224,999	0 199,009	0 206,870.5	0 194,343	0 249,496
⊳ Line 7: Investments ? ⊳ Median	800,683 299,524	1,789,042 188,688.5	938,189 370,813	366,839 309,361.5	302,443 375,329
⊳ Line 8: Revenue from telephone service	NULL	NULL	NULL	NULL	NULL
⊳ Line 9: Revenue from tv and radio	--	--	--	--	--
⊳ Line 10: Purchase discounts	0	0	0	0	0
⊳ Line 11: Rebates and refunds of expenses	0	0	0	0	0
⊳ Line 12: Parking lot receipts	0	0	0	0	0
⊳ Line 13: Revenue from laundry and linen service	0	0	0	0	0
⊳ Line 14: Revenue from meals sold to emplyees and guests	691,566	693,316	868,101	811,670	679,851
⊳ Line 15: Revenue from rental of living quarters	0	0	0	0	0
⊳ Line 16: Revenue from sale of medical and surgical supplies	0	0	0	0	0
⊳ Line 17: Revenue from sale of drugs to other than patients	0	0	0	0	0
⊳ Line 18: Revenue from sale of medical records and abstracts	0	0	0	0	0
⊳ Line 19: Tuition (fees, sale of textbooks, uniforms, etc.)	0	0	0	0	0
⊳ Line 20: Revenue from gifts, flowers, coffee shops, canteen	0	0	0	0	0
⊳ Line 21: Rental of vending machines	0	0	0	0	0
⊳ Line 22: Rental of hospital space	0	0	0	0	0
⊳ Line 23: Gov appropriations ? ⊳ Median	0 1,017,693	0 983,261.5	0 1,173,286	0 1,987,202	0 1,597,664
⊳ Sum Line 24	2,251,672	1,475,584	4,383,019	14,072,829	10,471,132
Total income ? Median	42,823,086 6,586,430	30,301,049 6,767,106	32,593,566 8,419,950	39,024,555 8,094,175	76,386,106 15,162,888
Non-operating expenses Median	405,226 146,289.5	402,200 164,857	543,865 89,880.5	262,715 106,761	3,943,323 31,473.5
Net income Median	42,417,860 6,043,842	29,898,849 5,845,112	32,049,701 7,606,259	38,761,840 7,283,041	72,442,783 14,957,241
Net margin Median	20.95925% 4.62%	13.65089% 4.42%	13.27585% 5.16%	14.85978% 5.2%	23.83182% 9.25%

* About "Other income": Other income, or line 25 in worksheet G3, is the sum of lines 6 through 24. It includes three lines that are considered non-operating revenue - contributions, investments and government appropriations. Medians are included for these three lines. It also contains items that are not central to providing healthcare, such as revenue from parking or gift shops.
"Sum Line 24" is a special case. Called "Other (specify)" in the cost reports, CMS allows for this line to be "subscripted," or divided into sublines like 002400, 002401, 002402. And hospitals do that, up to 100 lines, to detail income (and sometimes negative returns) that are otherwise not covered in the previous "other" lines. Therefore, "Sum Line 24" is the sum of all the lines 24.

Range* of total profit (loss) margins

= Total margin for KISHWAUKEE COMMUNITY HOSPITAL compared to all** acute-care hospitals, from CMS cost reports.
The chart below is interactive: click or touch to see more.

2017	2018	2019	2020	2021
3,157	3,092	3,050	3,052	2,566

Medicare revenue

Inpatient and outpatient revenue

	2017	2018	2019	2020	2021
All inpatient revenue Median Click here to show/hide details	22,151,351 23,241,334	24,317,600 23,709,545	24,884,789 24,248,380	21,951,462 22,858,541	26,278,429 23,620,613
"All inpatient revenue" is made up of any Medicare payments for routine inpatient, swingbed SNFs, TEFRA, IPF, IRF, inpatient long-term care, CAH and inpatient SNF facilities. Medians are only calculated when there are sufficient facilities reporting revenue.
⊳ Routine inpatient revenue ⊳ Median	22,151,351 21,577,146	24,317,600 22,041,594	24,884,789 22,722,063	21,951,462 21,570,441	26,278,429 22,140,684
⊳ Swingbeds ⊳ Median	0 --	0 --	0 --	0 --	0 --
⊳ Tax Equity and Fiscal Responsibility Act payments (TEFRA) ⊳ Median	0 --	0 --	0 --	0 --	0 --
⊳ Inpatient psychiatric facility (IPF) ⊳ Median	0 1,845,420	0 1,757,392	0 1,738,842	0 1,510,463	0 1,393,140
⊳ Inpatient rehabilitation facility (IRF) ⊳ Median	0 3,535,627	0 3,746,588	0 3,782,288	0 3,865,578	0 3,983,889
⊳ Long-term care hospital (LTCH) ⊳ Median	0 --	0 --	0 --	0 --	0 --
⊳ Critical-access hospitals ⊳ Median	0 --	0 --	0 --	0 --	0 --
⊳ Skilled-nursing facilities (SNF) ⊳ Median	0 1,203,033	0 1,215,295	0 1,313,657	0 1,365,298	0 1,179,746
All outpatient revenue Median Click here to show/hide details	12,695,324 11,160,864	16,099,084 11,987,345	18,750,165 12,926,866	20,629,125 11,884,480	23,782,974 13,145,163
"All outpatient revenue" is made up of any payments for routine outpatient, HHA, CMHC, rural health and other federally-qualified health clinics. Medians are only calculated when there are sufficient facilities reporting revenue.
⊳ Routine outpatient revenue ⊳ Median	12,695,324 10,918,923	16,099,084 11,706,976	18,750,165 12,615,917	20,629,125 11,458,116	23,782,974 12,776,716
⊳ Home Health agencies (HHA) ⊳ Median	0 1,282,808	0 1,407,728	0 1,341,512	0 1,407,046	0 1,476,867
⊳ Community mental health clinics (CMHC) ⊳ Median	0 --	0 --	0 --	0 --	0 --
⊳ Rural health clinics ⊳ Median	0 618,038	0 697,279	0 690,232	0 684,010	0 670,558
⊳ Other federally qualified health clinics ⊳ Median	0 --	0 --	0 --	0 --	0 --

Other payments

Item	2017	2018	2019	2020	2021
Graduate Medical Education (GME) Median	0 3,284,314	0 3,250,551	0 3,386,837	0 3,360,806	0 3,508,953
Disproportionate-share hospital (DSH) Median	198,095 594,888	325,073 595,761	371,732 577,894	357,001 542,168	303,750 549,667
Outlier Median	1,528,419 582,572	2,418,984 538,116	1,777,411 212,434	573,312 126,559	774,571 139,139

Uncompensated care

Item	2017	2018	2019	2020	2021
Medicaid shortfall Median	19,658,085 3,662,910	6,381,157 3,730,911	4,377,551 4,081,319	6,693,158 4,643,908	2,202,482 4,389,147
Charity care Median	1,898,455 2,654,636	2,367,947 2,940,659	2,468,735 3,380,215	5,504,919 3,488,738	4,736,512 3,233,405
Uncompensated care (UCC) Median	4,191,439 5,147,790	4,046,483 5,337,617	4,379,703 5,711,082	7,509,702 5,923,418	5,952,434 5,508,107
UCC as a % of operating expenses Median	2.63% 3.24	2.14% 3.12	2.10% 3.21	3.39% 3.3	2.62% 2.86
Total shortfall/UCC Median	23,849,524 9,489,989	10,427,640 9,424,297	8,757,254 10,120,158	14,202,860 11,171,337	8,154,916 10,133,851

Labor costs

	2017	2018	2019	2020	2021
Total salaries Median	53,094,539 52,142,039	56,826,348 54,485,252	54,945,172 57,395,589	58,409,475 58,830,919	62,903,713 61,722,907
Salaries as a % of operating expenses Median	33.34 36.68	30.11 36.56	27.99 36.37	27.09 35.93	27.54 35.24
Intern, resident salaries* Median	0 2,598,592	0 2,686,824	0 2,753,773	0 2,937,156	0 2,909,848
Contract intern, resident salaries* Median	0 1,251,927	0 1,186,494	0 1,204,885	0 1,279,653	0 1,469,317
Contract adjusted salaries, direct-care Median	790,269 1,449,244	0 1,475,986	345,163 1,563,078	811,961 1,721,954	3,022,081 2,991,828
Contract hours, direct-care Median	11,734.00 22,725	0.00 23,018.5	5,078.00 24,503.48	11,640.80 25,026.5	22,680.78 33,786
Contract wages, direct-care Median	67.35 64.67	0.00 64.53	67.97 65.06	69.75 68.97	133.24 88.94

* in an approved program

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Cost reports are self-reported by the facility, are subject to revision and should be considered preliminary.

* Net Service to patients (NS2P) equals net patient revenue minus operating expenses. NS2P is considered the equivalent of operating profit according to the Medicaid and CHIP Payment and Access Commission (MACPAC). See the last paragraph of "Primary Data Sources" on page 55 of Annual Analysis of Disproportionate Share Hospital Allotments to States (PDF).

About medians

Medians are calculated from reports with "complete" fiscal years, or reports with fiscal years of at least 300 days and no more than 420 days.

In cases where there are fewer than 50 values reported, medians are not calculated. For childrens' hospitals, it's when fewer than 20 are reported.

Web app by Tim Broderick | email.